NUR 210 ADVANCED CLINICAL
NURSING EXAM PREP QUESTIONS &
ANSWERS (CHAMBERLAIN) 100%
GUARANTEE PASS
1. A patient with chronic kidney disease presents with a potassium level of 6.8 mEq/L. Which
electrocardiogram change is the most critical early indicator of this electrolyte imbalance?
A. Tall, peaked T waves
B. Prominent U waves
C. Prolonged QT interval
D. ST-segment depression
Answer: A
Conceptual Explanation: Hyperkalemia typically manifests on an ECG as tall, peaked T
waves initially, which can progress to widened QRS complexes and loss of P waves.
2. When assessing a patient for Cushing’s Triad related to increased intracranial pressure,
which findings would the nurse expect to observe?
A. Tachycardia, hypotension, and tachypnea
B. Bradycardia, hypotension, and Cheyne-Stokes respirations
C. Bradycardia, widening pulse pressure, and irregular respirations
,D. Tachycardia, hypertension, and shallow breathing
Answer: C
Conceptual Explanation: Cushing’s Triad is a late sign of increased ICP consisting of
systolic hypertension with a widening pulse pressure, bradycardia, and irregular
respiratory patterns.
3. A patient is admitted with Diabetic Ketoacidosis (DKA). Which acid-base imbalance is most
likely present based on arterial blood gas results?
A. Metabolic Acidosis
B. Metabolic Alkalosis
C. Respiratory Alkalosis
D. Respiratory Acidosis
Answer: A
Conceptual Explanation: DKA causes an accumulation of ketones, which are acidic,
leading to a decrease in bicarbonate levels and a drop in pH, resulting in metabolic acidosis.
4. A nurse is caring for a patient with Right-Sided Heart Failure. Which clinical manifestation
is most characteristic of this condition?
A. Crackles in the lungs
B. Orthopnea
C. Paroxysmal nocturnal dyspnea
, D. Peripheral edema and JVD
Answer: D
Conceptual Explanation: Right-sided heart failure leads to systemic venous congestion,
evidenced by jugular venous distention (JVD), peripheral edema, and hepatomegaly.
5. Which compensatory mechanism is activated by the kidneys in response to decreased
perfusion pressure and low sodium levels?
A. Secretions of ANP
B. Inhibition of ADH
C. Production of Erythropoietin
D. Release of Renin
Answer: D
Conceptual Explanation: The Renin-Angiotensin-Aldosterone System (RAAS) is triggered
by decreased renal perfusion, leading to renin release from the juxtaglomerular cells.
6. A patient with a history of COPD presents with a pH of 7.32, PaCO2 of 55 mmHg, and HCO3
of 28 mEq/L. How would the nurse interpret this ABG?
A. Fully compensated respiratory acidosis
B. Partially compensated respiratory acidosis
C. Uncompensated metabolic acidosis
D. Partially compensated metabolic alkalosis
NURSING EXAM PREP QUESTIONS &
ANSWERS (CHAMBERLAIN) 100%
GUARANTEE PASS
1. A patient with chronic kidney disease presents with a potassium level of 6.8 mEq/L. Which
electrocardiogram change is the most critical early indicator of this electrolyte imbalance?
A. Tall, peaked T waves
B. Prominent U waves
C. Prolonged QT interval
D. ST-segment depression
Answer: A
Conceptual Explanation: Hyperkalemia typically manifests on an ECG as tall, peaked T
waves initially, which can progress to widened QRS complexes and loss of P waves.
2. When assessing a patient for Cushing’s Triad related to increased intracranial pressure,
which findings would the nurse expect to observe?
A. Tachycardia, hypotension, and tachypnea
B. Bradycardia, hypotension, and Cheyne-Stokes respirations
C. Bradycardia, widening pulse pressure, and irregular respirations
,D. Tachycardia, hypertension, and shallow breathing
Answer: C
Conceptual Explanation: Cushing’s Triad is a late sign of increased ICP consisting of
systolic hypertension with a widening pulse pressure, bradycardia, and irregular
respiratory patterns.
3. A patient is admitted with Diabetic Ketoacidosis (DKA). Which acid-base imbalance is most
likely present based on arterial blood gas results?
A. Metabolic Acidosis
B. Metabolic Alkalosis
C. Respiratory Alkalosis
D. Respiratory Acidosis
Answer: A
Conceptual Explanation: DKA causes an accumulation of ketones, which are acidic,
leading to a decrease in bicarbonate levels and a drop in pH, resulting in metabolic acidosis.
4. A nurse is caring for a patient with Right-Sided Heart Failure. Which clinical manifestation
is most characteristic of this condition?
A. Crackles in the lungs
B. Orthopnea
C. Paroxysmal nocturnal dyspnea
, D. Peripheral edema and JVD
Answer: D
Conceptual Explanation: Right-sided heart failure leads to systemic venous congestion,
evidenced by jugular venous distention (JVD), peripheral edema, and hepatomegaly.
5. Which compensatory mechanism is activated by the kidneys in response to decreased
perfusion pressure and low sodium levels?
A. Secretions of ANP
B. Inhibition of ADH
C. Production of Erythropoietin
D. Release of Renin
Answer: D
Conceptual Explanation: The Renin-Angiotensin-Aldosterone System (RAAS) is triggered
by decreased renal perfusion, leading to renin release from the juxtaglomerular cells.
6. A patient with a history of COPD presents with a pH of 7.32, PaCO2 of 55 mmHg, and HCO3
of 28 mEq/L. How would the nurse interpret this ABG?
A. Fully compensated respiratory acidosis
B. Partially compensated respiratory acidosis
C. Uncompensated metabolic acidosis
D. Partially compensated metabolic alkalosis
